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NPI 1700772605

NPI 1700772605 : ENFOCUS PSYCHIATRY LLC : WESTFIELD, IN

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General NPI Number Information
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    NPI Number           |    1700772605
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    Entity Type          |    Organization 
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    Legal Business Name  |    ENFOCUS PSYCHIATRY LLC 
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Dates
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    Enumeration Date     |    06/16/2025
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    20072 FENSIDE XING 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-0399
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    Country              |    US
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    Telephone            |    323-533-1999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3250A W 86TH ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46268-3605
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    Country              |    US
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    Telephone            |    323-533-1999
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / PMHNP
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    Name                 |     NICKOLAS E FALANGAS 
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    Credential           |    PMHNP-BC
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    Telephone            |    323-533-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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